INSURANCE REIMBURSEMENT RATES

Plain English Breakdown

The official source material does not provide specific details about dispute resolution or the scope of services covered, leaving these points as limits and unknowns.

Health Insurance Reimbursement for Non-Network Providers

This act sets a minimum reimbursement rate of at least 75% of the median network provider rate for non-network health care providers in Alaska.

What This Bill Does

• Sets a new rule that requires health insurance companies to pay non-network healthcare providers at least 75% of what they would pay their own network providers for similar services based on the median reimbursement rate paid by insurers in the state.
• Defines 'health care insurer' using the existing definition from another part of Alaska's law.

Who It Names or Affects

• Health insurance companies that operate in Alaska
• Non-network healthcare providers who are not part of an insurer’s network

Terms To Know

health care insurer

A company that provides health insurance to people or groups.

non-network provider

A healthcare provider who is not part of an insurance company's network of preferred providers.

Limits and Unknowns

• The bill does not specify how disputes over reimbursement rates will be resolved.
• It is unclear if this act applies to all types of health care services or only certain ones.

Official Summary Text

INSURANCE REIMBURSEMENT RATES
An Act relating to reimbursement for non-network health insurance claims.

Current Bill Text

SB0266A -1- SB 266
New Text Underlined [DELETED TEXT BRACKETED]

34-LS1514\A

SENATE BILL NO. 266

IN THE LEGISLATURE OF THE STATE OF ALASKA

THIRTY-FOURTH LEGISLATURE - SECOND SESSION

BY SENATOR CLAMAN

Introduced: 2/23/26
Referred: Labor and Commerce, Health and Social Services

A BILL

FOR AN ACT ENTITLED

"An Act relating to reimbursement for non-network health insurance claims." 1
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 2
* Section 1. AS 21.36 is amended by adding a new section to read: 3
Sec. 21.36.497. Non-network health insurance claims. A health care insurer 4
shall reimburse a non-network health care provider for a health care service or supply 5
in an amount that is at least 75 percent of the median reimbursement rate paid to a 6
network health care provider for the same health care service or supply based on the 7
health care insurer's network rates in the state at the time of delivery of the health care 8
service or supply. In this section, "health care insurer" has the meaning given in 9
AS 21.54.500. 10